摘要高度近视眼患者是青光眼的高危人群,一旦发生青光眼,其早期诊断存在相当大的难度.近视眼准分子激光角膜屈光手术(以下简称“准分子术”)除了可能加重青光眼病情外,还会由于术后眼球结构的改变对青光眼的诊断增加了更大的难度.术前青光眼风险评估是预防青光眼发生发展的重要手段.本文就准分子术后发现的开角型青光眼的临床诊断难点以及诊断要点、术前青光眼风险评估、术后的眼压测量及其对青光眼诊治的影响、术后的开角型青光眼的种类、术后长期跟踪随访等问题与眼科同道共同探讨.

abstractsPatients with high myopia are at high risk of glaucoma and are difficult to be discovered at early stage in the case of existing glaucoma.Myopic excimer laser corneal refractive surgery changes the structure of the eye,which makes early glaucoma diagnosis more difficult.Furthermore,refractive surgery may aggravate existing condition of glaucoma.To prevent the exacerbation of glaucoma,it is great important to perform the preoperative glaucoma risk assessment.In this paper,we presented the key diagnostic points of glaucoma assessment before and after excimer laser refractive surgery and discussed the postoperative intraocular pressure measurements and its impact on the diagnosis and treatment of glaucoma including characterization of open angle glaucoma and long-term follow up in patients with high myopia.